30 | 03 | 2017

Online Application Form for PhD Programme 2017
Candidate Personal Info

Name: *
Father's/Husband's Name: *
Date of Birth (DD/MM/YYYY) *
Gender * Male Female
Nationality * Indian Others
Caste * GEN SC ST OBC OBC-A OBC-B
Religion *
Whether Physically Challenged (Orthopaedically lower limbs only)* Yes No
Communication Address
Address *
PIN *
Permanent Address
Address *
PIN *
 
Mobile No. *
Email Id. *
Present Occupation (if any)
Name and Address of the Employer
Academic Qualification (Fill up any one of the Category: either 'A' or 'B' or 'C')
A. For PG Degree Holders
i. Discipline:
ii. Percentage of Marks in aggreate (For SC/ST/OBC-A/OBC-B minimum 50% and Others 55%)
iii. Research experience for atleast 2 years: Yes No
iv. Number of Publications in indexed/peer reviewed/National/International journal atleast 2 and above: Yes No
v. Number of Paper Presentation in National and International seminars for atleast one or more Yes No
B. FOR UNDER GRADUATE (For MBBS or equivalent degree holders in Allied Health Sciences)
i. Degree in:
ii. Marks Obtained (atleast 55% in each Annual/Professional Examinations) *
Examinations:Marks Obtained (in percentage)
1st
2nd
3rd
4th
iii. Research related work or Academic workfor atleast 3 years or more: Yes No
iv. Number of Publications in indexed/peer reviewed/National/International journal atleast 3 and more: Yes No
v. Number of Paper Presentation in National and International seminars for atleast one or more Yes No
C.  FOR PG DEGREE HOLDERS OTHER THAN CATEGORY 'A'
i. Name of PG Degree Course ( Other than Category 'A' ) :
ii. % of Marks / Status (Pass/ Fail) :